ANNEXURE-I
APPLICATION FOR CHANGE OF LAND USE
To
        The Senior Town Planner,
        _____________________.
Subject: Change of Land use for _______________________
 1.      Name of the Owner
 2.      Father’s/Spouse name
 3.      Owner Permanent Address
 4.      Owner Correspondence Address
 5.      Land Measuring in Acres
 6.      Land Falling in Village
 7.      HadBast No.
 8.      Tehsil
 9.      District
 10.     Khasra No.
 11.     Change of Land Use Type                           From                   To
 12.     Processing fee (Attach Bank Draft)                Amount        Bank Draft      Drawee Bank
         (Rs. 5000/- for the Ist Acre and Rs. 1000/- per                 No.
         acre for subsequent Area)
DECLARATON
I/ We do hereby certify that the information furnished above is true and nothing has been mis-stated or
kept concealed therein. I/We understand that in case of any wrong information made by me/us, I/We
would be liable for criminal prosecution.
 Signature of the Owner                                           Date   D    D    M     M    Y     Y
 Address of Owner
Alongwith three copies of the relevant documents mentioned below to be attached:-
1.   Original jamabandi.
2.   Original Aks Shajra.
3.   Site/Location Plan.
4.   Ownership Detail.
5.   Mamorandum of Articles/Project Report
6.   Registered lease deed.
7.   Partnership deed.
8.   Letter of Authorization for signing on behalf of co-share holders/ joint owners of the land.
Note: Demand Draft in Favour of Concerned Senior Town Planner of Concerned Development
Authority Payable at concerned Authority Location.